A. Distrust or suspiciousness of others. Motives are interpreted as malevolent. Four or more:
1) suspect w/o evidence that others are exploiting, harming, or deceiving
2) Doubt loyalty of others
3) Reluctant to confide
4) Reads hidden deameaning/ threatening meanings into others benign remarks
5) bears grudges
6) Quick to react or counterattack to perceived attacks
7) Worries about fidelty of partner
B. R/O other conditions
Differentiate it from Delusional Disorder bc there is a general suspiciousness versus a small set of well-developed delusions

A. Pervasive pattern of excessive emotionality and attention seeking. 5 or more of the following:
1) uncomfortable when not the center of attention
2) inappropriate sexually seductive/ provocative behavior
3) Rapidly Shifting and shallow expression of emotions
4) Uses physical appearance to draw attention to oneself
5) shallow & impressionistic speech
6) self-dramatization
7) suggestible
8) Considers relationships to be more intimate than they really are

Narcissistic personality disorder

A. Pervasive pattern of grandiosity, need for admiration, and lack of empathy. 5 or more:
1) sense of self-importance
2) preoccupied with fantasies of unlimited wealth or power, brillance, beauty, etc
3) believes that he is special and unique, and can only associate with other special and unique people
4) requires excessive admiration
5) sense of entitlement
6) Interpersonally exploitative
7) lacks empathy
8) envious of others
9) arrogant, haughty, behaviors or attitudes

A. Pervasive pattern of disregard for and violation of others rights, since age 15. 3 or more:
1) failure to conform to social norms
2) deceitfulness
3) Impulsivity, failure to plan ahead
4) irratibility or aggressiveness
5) disregard for safety of self or others
6) consistent irresponsibility
7) lack of remorse
B) AT least 18 yrs of age
C) evidence of conduct disorder with onset prior to age 15
D) R/O other disorders

avoidant Personality Disorder

A. Pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation. 4 or more:
1) avoids occupational act. with a sign. amount of interpersonal contact
2) unwilling to be involved with people unless certain of being liked
3) restraint within interpersonal relationships
4) preoccupied with being critcized or rejected
5) inhibited in new interpersonal situations
6) views self as socially inept
7) reluctant to take risks or engage in new activities

Dependent Personality Disorder

A. Pervasive and excessive need to be taken care of that leads to submissive and clinging behavior and a fear of separation. 5 or more:
1) diff. making everyday decisions
2) needs others to assume responsibilty
3) difficulty expressing disagreement
4) diff. initiating projects or doing things
5) excessive lengths to obtain nurturance and supp
6) feels uncomfortable or helpless when alone
7) seeks a new relationship when another one ends
8) preoccupied with fears of being left to take care of things by him or herself

Obsessive Compulsive personality Disorder

A. Pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control at the expense of flexibility, openness, and efficiency. 4 or more:
1) Preoccupied with details, lists, rules, order, organization, or schedules, & major pt of activity is lost
2) shows perfectionism that interferes with task completion
3) excessively devoted to work/ productivity at the expense of fun & friends
4) Overconscientious, scrupulous, inflexible about matters of morality, ethics, or values
5) Unable to disregard worn out or worthless objects even when they have no sentimental value
6) reluctant to delegate tasks
7) miserly spending style
8) rigidity and stubborness